National Provider Identifier [NPI]: |
1629282389 |
Last Name Of The Provider |
MANUS |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3470 E FRANK PHILLIPS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BARTLESVILLE |
Zip Code Of The Provider |
740062406 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
178997 |
Number Of Medicare Beneficiaries |
805 |
Total Submitted Charge Amount |
7521675 |
Total Medicare Allowed Amount |
3092778.08 |
Total Medicare Payment Amount |
2375078.52 |
Total Medicare Standardized Payment Amount |
2409034.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
79 |
Number Of Drug Services |
170537 |
Number Of Medicare Beneficiaries With Drug Services |
254 |
Total Drug Submitted ChargeAmount |
6278614 |
Total Drug Medicare AllowedAmount |
2573764.35 |
Total Drug Medicare PaymentAmount |
1991760.9 |
Total Drug Medicare Standardized Payment Amount |
1991760.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
8460 |
Number Of Medicare Beneficiaries With Medical Services |
805 |
Total Medical Submitted Charge Amount |
1243061 |
Total Medical Medicare Allowed Amount |
519013.73 |
Total Medical Medicare Payment Amount |
383317.62 |
Total Medical Medicare Standardized Payment Amount |
417273.72 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
292 |
Number Of Beneficiaries Age Greater 84 |
110 |
Number Of Female Beneficiaries |
499 |
Number Of Male Beneficiaries |
306 |
Number Of Non Hispanic White Beneficiaries |
677 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
90 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
689 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6788 |